Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.99 / $336.14 / $446.74	Facility		$175.99	$336.14	$446.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $175.99 / $272.79	Professional		$165.26	$175.99	$272.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.73 / $927.67 / $2,839.16	Facility		$289.73	$927.67	$2,839.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $148.09 / $165.26	Professional		$3.50	$148.09	$165.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.12 / $477.32 / $988.74	Facility		$272.12	$477.32	$988.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $261.35 / $362.54	Professional		$105.06	$261.35	$362.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.91 / $364.85 / $1,150.25	Professional		$218.91	$364.85	$1,150.25
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.01 / $279.01 / $279.01	Professional		$279.01	$279.01	$279.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $291.88 / $321.93	Professional		$22.99	$291.88	$321.93
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $128.77 / $225.57	Professional		$90.14	$128.77	$225.57